]]>
Mon, 25 Jul 2016 14:57:15 GMT -08:00http://www.scopemed.org/?mno=216828A Case of Steroid-Responsive Encephalopathy Associated With Autoimmune Thyroiditis (Hashimoto's Encephalopathy)http://www.scopemed.org/?mno=215872
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesMustafa Tatlı.
Hashimoto's Encephalopathy (HE) is a syndrome which represents itself with diverse neuropsychiatric symptoms and high titers of anti-thyroid antibodies, the syndrome has no specific radiological or EEG findings and it can be dramatically resolved with corticosteroid treatment. HE can show different clinical findings such as, confusion, stupor, coma, stroke like episodes, epileptic seizures, myoclonus, behavioral changes, hallucinations and delusions. The cause of HE has been proposed to be autoimmune because of it's association with other immunologic disorders, female predominance, inflammatory findings in cerebrospinal fluid and response to treatment with streoids.
Because the disease has a wide range of symptom scala and has no specific radiological findings and also has no proven pathogenetic mechanism that can explain the occurence of the disease it is thought that the diagnosis of the syndrome can be delayed or the disease can be mis-diagnosed. This knowledge is thought to be crucial as we know that corticosteroid treatment can show quick and dramatic response to the disease when the syndrome is early diagnosed. In this case report , a patient who is diagnosed as Hashimoto's Encephalopathy with findings of cognitive and psychotic disturbances is presented.]]>
Mon, 25 Jul 2016 14:52:35 GMT -08:00http://www.scopemed.org/?mno=215872Acute psychotic episode under isoniazid treatment: A Case Reporthttp://www.scopemed.org/?mno=201621
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesGökhan Umut, Bahar Dernek, İlker Küçükparlak, Tuğba Aydın, Nesrin Karamustafalıoğlu, Fatma Nur Kesiktaş.
Each year, nearly 9 million new tuberculosis mycobacterium infection is being detected worlwide. It is mostly recommended to use isoniazid (isonicotinic acid hydrazide [INH]) in the treatment and prophylaxis of this infection by the World Health Organization. As INH is taken overdose synthesis of pyridoxal -5- phosphate and GABA are decreased and this causes cerebral excitability and seizures. In some rare cases, it is believed that isoniazid causes mania, depression, obsessive compulsive disorder and psychosis by MAO inhibitor activity or pyridoxine reduction. In this case report, a 28-year-old man with acute psychotic attack precipitated by cannabis use under INH treatment, is presented.]]>
Mon, 25 Jul 2016 14:49:27 GMT -08:00http://www.scopemed.org/?mno=201621Capgras Syndrome After Use of Synthetic Cannabinoid: an Adolescent Casehttp://www.scopemed.org/?mno=214393
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesÜrün Özer, Veysi Çeri, Cüneyt Evren.
Aim
Anxiety, agitation, irritability, confusion, hallucinations and delusions are among common psychotropic effects of synthetic cannabinoids, which referred as Bonzai and Jamaika in Turkey. Cases of psychotic disorder induced by synthetic cannabinoid use are becoming increasingly more reported.
Capgras syndrome is a psychotic disorder characterized by a delusion that a specific person or object has been replaced by an identical one. It has been reported to occur rarely in pure form, but generally accompanying schizophrenia or organic psychosis.
Herein we aim to report an adolescent case presenting with Capgras syndrome developed after use of synthetic cannabinoids and to draw attention to psychotic symptoms and to this uncommon psychotic syndrome which may occur after synthetic cannabinoid use.
Case
Seventeen years old male was brought to the emergency room by his family. In psychiatric examination auditory hallucinations, persecutory delusions and Capgras syndrome, defined with delusion that his mother and father have been changed and replaced by others, have been detected. He reported using bonzai for about 10 days via inhalation and trying volatile substances few times in the past. He had complaints for 4 days and no psychiatric admission before. Rutine laboratory and neuroimaging tests were unremarkable. Urinanalysis was negative for psychoactive substance metabolytes. Psychotic symptoms improved with Olanzapine 10 mg/day and did not recur in the follow-up period of 3 months with no use of bonzai.
Conclusion
In adolescents who admit with psychotic symptoms, synthetic cannabinoid use should be considered and detailed history should be taken, even laboratory tests were negative. Adolescents, as a vulnerable population, should be informed about negative effects of synthetic cannabinoids which are easily accessible and marketed as herbal, natural and legal, as well as their parents and institutions such as schools which may guide them. Thus, it might be possible to prevent psychotic disorders which will be induced by this substances.]]>
Mon, 25 Jul 2016 14:45:58 GMT -08:00http://www.scopemed.org/?mno=214393A Case of Psychogenic Movement Disorder Mimicking Acute Cerebellar Syndromehttp://www.scopemed.org/?mno=216300
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesYıldız Değirmenci, Ayhan Öztürk.
Psychogenic movement disorders (PMDs) are involuntary movements of various kinds without any underlying organic etiology. They can occur as tremor, spasm, dystonia, parkinsonism or myoclonus. A detailed history and neurological examination is essential to differentiate these disorders from organic neurological etiologies. Since PMDs are challenging entities in clinical practice, we presented this case of psychogenic tremor and gait disorder mimicking acute cerebellar syndrome in order to emphasize the importance of diagnostic clinical clues of PMDs in the differentiation of organic diseases, and to give accurate treatment.]]>
Mon, 25 Jul 2016 14:40:36 GMT -08:00http://www.scopemed.org/?mno=216300Frequency Of Domestıc Vıolence In Psychıatrıc Patıents And Related Factorshttp://www.scopemed.org/?mno=220519
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesSevda Korkmaz, Tuba Korucu, Sevler Yıldız, Şüheda Kaya, Filiz İzci, Murad Atmaca.
Objective: Objective of the present study is to determine the prevalence of domestic violence among married female patients that applied to psychiatric polyclinic and to investigate the relationship between exposure to violence and levels of anxiety and depression.
Methods: 100 consecutive married female patients were included into the study. Beck Depression Scale (BDS), Beck Anxiety Scale (BAS), and a sociodemographic and clinical data form designed by the authors were applied to each case. Furthermore, all participants were asked to complete a questionnaire that included questions such as whether there was violence (economic, physical, sexual and psychological) at home, if positive its frequency and duration, and whether the partners were subjected to violence as children.
Findings: It was found that 76% of the patients were subjected to at least one type of violence during marriage, 68% were exposed to verbal, 45% to physical, 39% to economic, and 11% were subjected to sexual violence. As the level of education increased, the rate of being the victim of physical violence increased proportionally. 40% of the females that were the victims of physical violence (n:18) reported that they inflicted violence to their children, and 15 of these patients (33%) said that they have attempted suicide while they were married.
Result: In the present study, it was determined that domestic violence was correlated with the increase in anxiety and depression scores. Independent of the type of violence, it was determined that domestic violence caused an increase in the number of suicidal attempts.]]>
Mon, 25 Jul 2016 14:37:14 GMT -08:00http://www.scopemed.org/?mno=220519The Effectiveness of EMDR theraphy in the treatment of the Phantom Limp Painhttp://www.scopemed.org/?mno=214703
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesEbru Sinici.
Objective: The aim of this study was to determine the effectiveness of Eye Movements of Desensitization and Reprocessing (EMDR) therapy in the treatment of the Phantom Limp Pain.
Materials and Methods: Participants of this study consist of 14 patients who was amputation applied and are observed in the Orthopaedics and Traumatology Department of Gülhane Military Hospital as either inpatients or outpatients. Amputation was applied to four patients with diabetic foot and ten patients with trauma. Five patients had three sessions , eight patients had five sessions and two patients had six sessions of EMDR applıcatıons. Ending of the treatment was provided by patients describe that they were not in pain. McGill Melzack Pain Questionnaire, State Anxiety Inventory (State and Trait Anxiety Inventory-STAI-I), the Beck Depression Inventory and Symptom Checklist (Symptom Distress Checklist SCL-90-R) were applied after and before EMDR applıcatıons who had amputate. These tests were given to the patients were invited to control again after one month and three months. The Symptom Checklist was applied again in the third month control.
Results: It was seen that phantom pain decrease before the treatment, among shortly after, one month and 3 months later controls.
Conclusion: In this study, EMDR therapy has been found to provide a significant improvement over the phantom pain. Based on the findings of EMDR therapy has been shown effective with early application on phantom pain.]]>
Mon, 25 Jul 2016 14:32:56 GMT -08:00http://www.scopemed.org/?mno=214703The Relationship Between Obsessive Compulsive Disorder And Mental Contamination (Mc): Psychometric Properties Of Vancouver Obsessive Compulsive Inventory-Mc Scale And Thought-Action Fusion-Contamination Scalehttp://www.scopemed.org/?mno=220862
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesMüjgan İnözü, İlgün Bilekli, Fulya Özcanlı Ulukut.
Objective: Mental contamination has been conceptualized as the feelings of internal dirtiness in the absence of the actual contact with a dirty physical object or a person. Mental contamination is considered to play an important role in the maintenance and persistence of the obsessive compulsive disorder (OCD). This study aimed to examine the psychometric properties of the Turkish version of two objective measures of mental contamination. These are Vancouver Obsessive Compulsive Inventory-Mental Contamination Scale (VOCI-MC) and Thought-Action Fusion-Contamination Scale (TAF-CS).
Method: The participants were 255 university students (183 female and 70 male) with an age range of 18-28. The participants were asked to fill out the questionnaire set consisted of VOCI-MC, TAF-CS, Thought-Action Fusion Scale (TAFS), Disgust Scale-Revised, Trait Anger Expression Inventory and Obsessive Compulsive Inventory-Revised (OCI-R).
Results: Reliability analyses indicated that the internal consistency of VOCI-MC and TAF-CS was .93 and .92, and test-retest reliabilities were .79 and .6, respectively. Consistent with the original study, the results of the explanatory and confirmatory factor analysis indicated that both scales have one factor structure. Convergent and divergent validity analyses revealed that both scales were positively correlated with OCI-R total scores and its subscales as well as TAF total score and its subscales; and while this relationship was significantly less strong for Trait Anger and Disgust Sensitivity. While VOCI-MC significantly predicts OCD symptomatology, TAF-CS is observed to have no predictive power in this regard.
Conclusions: The results support that the psychometric properties of the Turkish versions of the scales meet the acceptable standards for validity and reliability and therefore can be used among Turkish population.]]>
Mon, 25 Jul 2016 14:29:54 GMT -08:00http://www.scopemed.org/?mno=220862The Assessment of the Relationship Between Problematic Internet Use and Parent-Adolescent Relationship Quality, Loneliness, Anger, and Problem Solving Skillshttp://www.scopemed.org/?mno=224512
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesGülen Say, Ayşegül Durak Batıgün.
Objective: The main purpose of this study was to investigate the relationships between problematic internet use, and parent-adolescent relationship quality, loneliness, anger, and problem solving skills. Another aim of the current study was to find out differences related to sociodemographic variables, such as gender and socioeconomic status, in problematic internet use.
Method: 402 university students (243 females, and 159 males) participated to the study. Online Cognition Scale, Quality of Parent-Adolescent Relationship Scale, UCLA Loneliness Scale, Problem Solving Inventory and Multidimensional Anger Inventory were used.
Results: The results revealed that 16.4% of the participants scored high on problematic internet use and spent 2.7 hours (S=1.23) a day on the internet on average. The mediating roles of anger, problem solving skills, and loneliness on the relationship between parent-adolescent relationship quality and problematic internet use were analyzed and all of these variables were found to mediate negative parent-adolescent relationship quality and problematic internet use.
Discussion: These results provide helpful tips that can be used in the prevention and intervention programs related to problematic internet use. Psychological counseling and psychotherapy practices might include the strengthening of the relationship between adolescents with problematic internet use and their parents. Moreover, following the assessment of their loneliness, and anger levels, and problem solving skills, interventions related to communications skills, anger management, and problem solving approaches might decrease their problematic internet use.]]>
Mon, 25 Jul 2016 14:24:11 GMT -08:00http://www.scopemed.org/?mno=224512Psychotherapy Perspective of Physicians and Psychiatric Patientshttp://www.scopemed.org/?mno=218168
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesMemduha Aydin, Hulya Ertekin, Tahsin Etli, Hatice Yardim Ozayhan, Ibrahim Eren.
Objective: In this study, we aimed to investigate the role of psychotherapy in healing and protecting the mental health in contemporary psychiatry and general medicine practice.
Method: This study is a cross-sectional study that was conducted in Konya Training and Research Hospital between May 2013 and July 2013. In the study, to collect data, 5-item questionnaires were created separately for the patients, doctors from internal and surgical disciplines and questionnaires were administered to participants who agreed to fill in those.
Results: The sample of our study was consisted of 173 patients who admitted to psychiatric outpatient clinic, 28 doctors from surgical disciplines, 89 doctors from internal medicine disciplines.
It was found that patients who admitted to psychiatric outpatient clinic think that psychotherapy is an effective method for the treatment of psychiatric disorders (83,3%, n=144), know that psychiatrists can apply psychotherapy (77,5%, n=134), but think that sufficient time for psychotherapy can not be allowed at the outpatient clinics (76,8%, n=133).
It was found that there is no difference between the doctors from internal and surgical disciplines in tendency to ask support from psychiatrists for treatment of their patients (78.6%, n=22; 91.0%, n=81; χ2=4.318, p=0.115), doctors from internal disciplines have a higher proportion of the idea of psychotherapy to be as effective as medication treatments (75%, n=21; 92.1%, n=82; χ2=6.519, p=0.038). It was determined that there is no difference between the doctors from internal and surgical disciplines in idea of psychiatrists to be able to provide psychotherapy service (71,4%, n=20; 76,4%, n=68; χ2= 0,546, p=0,761), belief of applicability of psychotherapy in the outpatient clinic conditions is higher among doctors from internal disciplines than doctors from surgical disciplines (17.9%, n=5; 43.8%, n=39; χ2=6.527, p=0.038).
Conclusion: This study enabled to assess the attitudes towards psychotherapy among patients, doctors from internal and surgical disciplines.]]>
Mon, 25 Jul 2016 14:20:53 GMT -08:00http://www.scopemed.org/?mno=218168Psychiatric Symptoms, Perceived Social Support, Coping Styles, and Dyadic Adjustment in Pregnant Women with Hyperemesis Gravidarumhttp://www.scopemed.org/?mno=231193
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesNalan Kara, Muberra Namli Kalem, Hatice Balci, Ziya Kalem, Ebru Yuce, Zehra Candan Iltemir Duvan.
ABSTRACT
Psychiatric Symptoms, Perceived Social Support, Coping Styles, and Dyadic Adjustment in Pregnant Women with Hyperemesis Gravidarum
Objective: Hyperemesis gravidarum (HG) is a condition with severe nausea and vomiting, which is seen in 0.3- to 2 % of pregnancies. In addition to biological factors, psychosocial factors were also reported to play a role in the development of HG. However, the impact of psychosocial factors in HG has yet to be elucidated. In this research, we aimed to investigate psychiatric symptoms in patients with HG and their relationships with perceived social support, coping styles, and dyadic adjustment.
Methods: Forty-eight women with HG hospitalized in the Obstetrics and Gynecology Inpatient Unit of Turgut Ozal University and 48 healthy pregnant women consulted to the Obstetric Outpatient Unit for their routine obstetric control were recruited for the study. The subjects were evaluated with sociodemographic form, Symptom Check List (Scl-90-R), Multidimensional Scale of Perceived Social Support (MSPSS), Ways of Coping Scale (WCS), and Dyadic Adjustment Scale (DAS).
Results: All sociodemographic variables except nausea and vomiting history in previous pregnancies were similar in both groups. All subscales and global symptom index scores of Scl-90-R were higher; optimistic and submissive subscale scores of WCS were lower, satisfaction, consensus and total scores of DAS were higher in HG group (p]]>
Mon, 25 Jul 2016 14:17:56 GMT -08:00http://www.scopemed.org/?mno=231193Prevalence And Factors Associated With Mild Cognitive Impairment On Screening In Older Malaysianshttp://www.scopemed.org/?mno=215255
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesKhairiah Kamarolzaman, Ching SiewMooi, Tengku Aizan Tengku Abdul Hamid.
Objective: This study aimed to determine the prevalence and predictors of mild cognitive impairment in Malaysia.
Method: This is a cross-sectional community-based study among elderly aged 60 and above in the four states of Malaysia - Perak, Kelantan, Selangor and Johor. A Multi-stage stratified random sampling method was used for the data collection. Mini Mental State Examination ≥22 was used to diagnosed MCI and analysed by using multivariate logistic regression.
Result: A total of 2112 participants were recruited into this study. Mean age of the participants was 69.2±18.8 years and 51.4% were female. The ethnics distribution were 63.4% Malay, 31.4% Chinese, 5% Indians and 0.2% other ethnics. The overall prevalence of mild cognitive impairment was 68% (N=1436/2112). In multivariate logistic regression analysis, those being older (OR 1.02, 95% CI 1.00-1.04), not receiving formal education (OR 6.85, 95% CI 4.58-10.25), having primary education level (OR 2.35 95%CI 1.84-3.00), loneliness (OR 1.18 95%CI 1.05-1.32) and low level of life satisfaction (OR 1.68 95%CI 1.02-2.67) had significant positive association with mild cognitive impairment.
Conclusion: Mild cognitive impairment was present in seven out of ten elderly Malaysians. Aging population, presence of low education level, loneliness and dissatisfaction towards life were more likely to develop mild cognitive impairment.]]>
Mon, 25 Jul 2016 14:14:52 GMT -08:00http://www.scopemed.org/?mno=215255Premature and normal menopause: an evaluation in terms of stress, marital adjustment and sex roleshttp://www.scopemed.org/?mno=179763
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesMeral Onder, Aysegul Durak Batigun.
Objective: Middle age period brings about particular difficulties for some women, because of the physiological and psychological changes. The physiological changes occuring in this period is called andropause for males and menopause for females. While it starts about 40-50 years of age in general, it might be at an earlier stage of life for some women which is called premature menopause, indicating the climacterium. The main aim of this study is to compare two groups of women with premature menopause and normal menopause in terms of stress reactions, ways of coping, marital adjustment, and sex roles.
Method: Data were collected from a total of 224 women, 82 of which had premature menopause (under age 40), and 142 had normal menopause (above age 40). The participants were given Demographic Information Form (DIF), Stress Reactions Scale (SRS), Ways of Coping Inventory (WCI), Marital Adjustment Scale (MAS), and Bem Sex Roles Inventory (BSRI) to obtain data.
Results: The t-test analysis has revealed that the premature menopause group had higher scores in stress reactions, lower scores in self confident and optimistic ways of coping with stress, and lower scores in marital adjustment, compared to the normal menopause group. The predictive variables for both groups were found to be degree of agreement in marriage, helpless style, and searching for social support by regression analysis. The masculine sex role was the predictor of only the premature menopause group.
Discussion: When we review the related literature, we see that most of the studies are about women who entered menopause around 40 years of age and the problems they face in the process. There is very little research on women who enter menopause earlier (premature menopause). For this reason, it is felt that the current study will add to our knowledge on the premature manapause phenomenon, which challenges women physically and psychologically. We feel it is important to raise awareness in women on the issue in order to prevent and alleviate stress-related problems. We also feel the results of the study might be important in the areas of psychotheraphy and psychological counselling. For example during psychological counselling or psychotheraphy for premature menopause, it might be important to measure the sex roles, marital satisfaction levels and the levels of satisfaction of these women with their close interpersonal relationships, and try to design interventions accordingly. Additionally it might be helpful to teach new coping strategies to manage their stress levels.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=179763The relationship between temperament and character traits and anger response styles in university studentshttp://www.scopemed.org/?mno=181837
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesNalan Aslan, Haluk Arkar.
Objective: The aim of this study is to determine the relationship between temperament and character and anger and anger response styles in late adolescent undergraduate university students.
Method: In this study, 227 university students aged between 18 and 25 years volunteered to participate. Temperament and Character Inventory (TCI), State-Trait Anger Expression Inventory (STAXI), and a Personal Information Form (PIF) prepared by one of the researchers were administered.
Results: The study found correlations between temperament and character and anger and anger response styles. While a positive correlation was found between trait anger and novelty seeking and harm avoidance, a negative correlation was found between trait anger and reward dependence, self-directedness, and cooperativeness. A positive correlation was found between anger-in and harm avoidance, a negative correlation was found between anger-in and reward dependence, self-directedness, and cooperativeness. A positive correlation was found between anger-out and novelty seeking while a negative correlation was found between reward dependence, self-directedness, and cooperativeness. Finally, a positive correlation was found between anger control and reward dependence, self-directedness and cooperativeness, while a negative correlation was found between anger control and novelty seeking. In addition to these results, some variables have an impact on temperament and anger response styles.
Conclusion: Our study is important in that it demonstrates a number of correlations between temperament and character traits and anger response styles. In order to examine the relation between anger and temperament in more detail, it seems necessary to carry out studies with younger adolescents. Another important aspect is to point out the need to take temperament traits into consideration in clinical applications.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=181837An investigation of the relationship between adolescents subjective well-being and perceived parental attitudeshttp://www.scopemed.org/?mno=183300
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesTugba Sari, Isa Ozkan.
Objective: In the present study, whether adolescents subjective well-being differed according to perceived parental attitudes was investigated.
Method: The study population was constituted from students of secondary schools in during the 2013-2014 academic year. Research sample has been formed with 659 students (351 females and 308 males) who were randomly selected from three different secondary schools. Personal Information Form, Parental Attitude Scale and Subjective Well-Being Scales for Adolescents were used for data collection. Mann-Whitney U Test and Kruskal Wallis H Test with Bonferroni correction were used in data analysis.
Results: Significant differences between perceived parental attitudes and subjective well-being were determined (p>0.01). The levels of subjective well-being of adolescents who perceived their parents as democratic and tolerant were determined higher than the ones who perceived their parents as negligent and authoritative.
Discussion: In the light of the findings, it is concluded that positive attitudes and supports of parents enhance the level of subjective well-being of adolescents. The results are discussed with outcomes as well as related theoretical background. Some proposals are made for practitioners and educators.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=183300Quality of life, alexithymia, anxiety and depression symptoms among mothers of children with atopic dermatitishttp://www.scopemed.org/?mno=188204
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesSeref Simsek, Tuba Tuncel, Tugba Yuksel, Aysen Cetemen, M. Fuat Gurkan.
Objective: The mothers of children diagnosed with atopic dermatitis (AD) may be impacted in many different ways. Aim of the present study was to compare quality of life, anxiety, depression, and alexithymia symptoms between mothers of children diagnosed with AD and mothers of healthy children.
Method: The study included 34 mothers of children who were diagnosed with AD between June 2012 and July 2013 and 35 mothers of healthy children. In the study, Short Form 36 (SF-36) Health Survey was used to evaluate quality of life, while the Toronto Alexithymia Scale (TAS) was used to evaluate alexithymia level, the State-Trait Anxiety Inventory (STAI) was used to evaluate anxiety symptoms, and the Beck Depression Scale (BDS) was used to evaluate depression symptoms.
Results: There was no statistically significant difference between the mothers of AD patients and control subjects in terms of quality of life, anxiety, depression, and alexithymia. In addition, there was no significant difference in disease severity or symptoms scale scores between the two groups.
Conclusion: These results may suggest that mothers mental health is not affected in the early stage of the disease. In later stages of the disease, mothers of children with AD may become psychologically affected. Long-term follow up studies are required to clarify this distinction.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=188204Aripiprazole augmentation of clomipramine therapy in treatment-resistant obsessive-compulsive disorder: case serieshttp://www.scopemed.org/?mno=189945
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesFiliz Izci, Murat Yalcin, Sumeyye Yasemin Kurtulus Calli, Yagmur Sever, Rabia Bilici.
Obsessive-compulsive disorder (OCD) is a chronic disorder characterized by recurrent intrusive thoughts and repetitive rituals, causing significant distress and functional loss. Studies show evidence about serotonergic and dopaminergic mechanisms in neuropathogenesis of OCD. Selective serotonin re-uptake inhibitors (SSRI) are considered first line treatment in OCDs, but treatment resistance may occur in 40-60% of cases treated with SSRIs. Augmentation of antidepressants with atypical antipsychotics is an important treatment option in treatment-resistant patients with OCD. In this article, we aimed to present five OCD cases with treatment-resistance in which we obtained good outcomes, with addition of aripiprazole 10-30mg per day to clomipramine therapy.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=189945Psychosis related with Hashimoto thyroiditis: a case reporthttp://www.scopemed.org/?mno=191240
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesRuken Agachanli, Ozlem Devrim Balaban, Menekse Sila Yazar, Nezih Eradamlar.
Hashimotos thyroiditis is an autoimmune disease characterized with inflammation of the thyroid gland. Psychiatric symptoms frequently accompany Hashimotos thyroiditis. Major depression is the most common affective disorder with the prevalence of 33-43%. Psychotic disorders may accompany at 5% rate. In this case report; a patient, recently diagnosed with hypothyroidism and involved into a psychotic process due to his hypothyroidism, is discussed. The patients refusal of oral intake and lack of parenteral preparation of thyroxine in our country were the factors that made the treatment more complicated. The aim of this case report is to emphasize the importance of the routine laboratory examinations especially during the first admission to the hospital, and to underline difficulty of thyroid replacement therapy due to lack of preparation of parenteral thyroxine in our country in patients who do not or can not get medications orally.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=191240A difficult intensive care unit monitorization case: a suicidal attempt at 13 years of age by hanginghttp://www.scopemed.org/?mno=195632
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesIsa Yildiz, Esma Soylemez, Husna Karadayi, Mansur Kursad Erkuran, Hakan Bayir, Hamit Yoldas.
Suicide among young population is a global challenge increasing over time. Family problems, drug addiction, increased risk of childhood depression may lead to suicidal attempts by hanging with a rope, which is a rarely selected method at younger ages. Increased suicidal attempt rates cause increased rates of intensive care unit monitorization. Psychosocial support is quite important at this age group. In this report, a 13 years old girl, who was monitorized at the intensive care unit after she attempted suicide by hanging, would be discussed.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=195632Relationship between empathic responding and its clinical characteristics in patients with major depressive disorderhttp://www.scopemed.org/?mno=192020
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesOkan Ekinci, Aslı Ekinci.
Objective: To our knowledge, there is no study specifically examining the relation between empathic responding and clinical features in patients with major depressive disorder (MDD). Our aim was to examine cognitive and affective empathic responding in patients with MDD and to explore the possible relations between clinical features and empathy.
Method: The sociodemographic and clinical properties of 83 patients with major depression were recorded. The Beck Depression Inventory (BDI) was used to assess severity of depression, whereas the Beck Anxiety Inventory (BAI) was used to assess anxiety. Hopelessness level was measured by Beck Hopelessness Scale (BHS). Patients empathic ability was evaluated by using the Interpersonel Reactivity Index (IRI), and results were compared with 85 healthy controls. We used Pearson correlation and general linear model analysis to evaluate the manner in which the variables contributed to the IRI scores.
Results: Perspective Taking (IRI-PT), Empathic Concern (IRI-EC), and Fantasy (IRI-FS) subscores were all substantially lower in subjects with depression than in healthy controls, while the Personal Distress (IRI-PD) subscore was higher than in healthy subjects. There were significant effects of gender on the scores of IRI-EC and IRI-FS. Lower IRI-FS and IRI-PD scores were found to be significantly related to high suicide risk in depression.
Conclusion: Based on our results, patients with major depressive disorder show significantly impaired empathy measures compared to the normal population. Our findings also suggest a close relationship between suicidality and empathy in patients with MDD.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=192020Venlafaxine induced hair loss: a case reporthttp://www.scopemed.org/?mno=195769
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesEsra Yancar Demir.
Agents within antidepressants which are most commonly associated with hair loss are tricyclic antidepressants. However, hair loss side-effect due to SNRIs are limited to case reports. A 33 years old, married female patient with two children was suffering from depression and anxiety symptoms such as anhedonia, insomnia once or twice a year since her twenties. For the last 4 months, she developed depressive mood, unwillingness, pessimism, aggressiveness, impatience, anxiousness and constant feeling of fatigue, and she visited to our clinic, because she felt that her symptoms were getting worse. She was diagnosed with recurrent type of major depression according to DSM-IV, and venlafaxine treatment was started at 75mg/day dose. At the end of second month she reported complaint of hair loss. Her laboratory findings including thyroid function tests, vitamin B-12 and D were all normal. The treatment was continued, but at the end of the 4th month hair loss problem was intolerable. After ruling out organic reasons, it was suspected that venlafaxine might be the cause, and it was tapered down and stopped. During the first month control after drug discontinuation, hair loss was clearly decreased, and it was completely stopped at the end of the second month. Clinicians should be aware that although hair loss due to venlafaxine is a rare problem, if patients receiving venlafaxine have this complaint, it should not be overlooked.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=195769Lafora disease presenting with acute anxiety: a case reporthttp://www.scopemed.org/?mno=194082
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesEsra Ozdemir Demirci.
Psychiatric disorders are seen more frequently in patients with epilepsy than in the general population. Personality changes, psychosis, obsessive-compulsive symptoms and mood or anxiety disorders can occur in association with epilepsy. Anxiety disorders and depression are most common psychiatric disorders in patients with epilepsy. Lafora disease (LD) is a treatment resistant epilepsy with onset at the teenage period, followed by progressively worsening myoclonus, seizures, visual hallucinations and cognitive decline, leading to a vegetative state in status myoclonus and death. Different neuropsychiatric symptoms can be seen in patients with LD during the course of the disease. There are as yet no reports on how often patients with epilepsy, such as LD, presented with psychiatric symptoms to clinics at the first disease onset. No case of LD presenting with an anxiety disorder before seizures was reported in the literature. Herein, the case of a 14-year-old female adolescent who presented with acute severe anxiety before seizures, would be discussed.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=194082Psychiatric disorders and demographic characteristics among geriatric outpatients in Canakkale State Hospitalhttp://www.scopemed.org/?mno=206826
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesHulya Ertekin, Yusuf Haydar Ertekin, Basak Sahin, Esra Kolat, Aysegul Uludag.
Objective: The elderly population in Turkey and in the world is progressively increasing and the increase is expected to be more prominent in the future. As the elderly population grows, there will be an increasing demand on health services, resulting in rapidly rising medical, psychiatric, and social healthcare problems. The aim of the present study is to determine the distribution of psychiatric illness, including gender-based differences, demographic characteristics and prevalence within all elderly age groups, among patients visiting the general psychiatry outpatient clinic.
Method: This was a retrospective study using data from the patient registry system for elderly patients who visited the general psychiatry outpatient clinic between September 2013 and February 2014. Patients were ?65 years of age. Patients demographic characteristics and their Axis I diagnoses according to DSM-IV-TR were recorded.
Results: Of the 1044 patients who visited the general psychiatry outpatient clinic during the 6-month period, 15% (n=158) were aged ?65 years; 62% of the 158 patients included in the study were female and 38% were male. Depression was present in 41% of patients; 21% had generalized anxiety disorder (GAD); 8% had adjustment disorder (AD), and 7% had schizophrenia. GAD was statistically significantly higher in females and AD was statistically significantly higher in males.
Conclusion: Assessing demographic data including common diagnoses and diagnostic differences between genders in elderly patients is important to improve new diagnosis and treatment strategies.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=206826Psychometric properties of the Turkish version of the Adult ADHD Self-Report Scale (ASRS-v1.1) in a sample of Inpatients with alcohol use disorderhttp://www.scopemed.org/?mno=207107
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesCuneyt Evren, Gokhan Umut, Muge Bozkurt, Gulsen Teksin-Unal, Ruken Agachanli, Bilge Evren.
Objective: The Adult Attention Deficit Hyperactivity Disorder (ADHD) Self-Report Scale (ASRS) allows dimensional self-rating assessment of ADHD according to DSM-IV. The Turkish version of the scale was validated in university students. The aim of the present study was to evaluate psychometric properties of the Turkish version of the ASRS in a sample of inpatients with alcohol use disorder (AUD).
Method: Participants included 190 inpatients with AUD. Participants were evaluated with the ASRS and the Adult ADD/ADHD DSM-IV Based Diagnostic Screening and Rating Scale (Adult ADHD Scale).
Results: The ASRS-18 (18 item version) was found to be a psychometrically sound adult ADHD screening measure with high convergent validity when compared with Adult ADHD Scale (r=0.738; 0.694 for inattentive-IN subscale and 0.690 for hyperactive/impulsive-HI subscale) and to have a Cronbachs ? of 0.863 (0.822 for IN subscale and 0.775 for HI subscale). Two components accounted for 31.13% and 9.27% of total variance, respectively, for the ASRS-18. Subscales were highly correlated with total ASRS-18 score (n=190, r=0.887, r=0.886, respectively) and moderately correlated with each other (r=0.571). Test-retest correlation was moderate (n=120, r=0.677) for IN subscale whereas test-retest correlation was high for HI subscale (r=0.774) and for ASRS-18 (r=0.765). The ASRS-18 had sensitivity and specificity scores of 0.81 and 0.75, respectively, when using the optimal cut-off score of 30. Additionally, the ASRS-18 showed good discriminant validity as it significantly differentiated alcohol-dependent inpatients with a risk of ADHD from those without. The ASRS-6 (6 item version) showed psychometric properties similar to those of ASRS-18, although the sensitivity score (0.75) was lower than in ASRS-18, whereas the specificity score (0.79) was similar to ASRS-18, when using the optimal cut-off score of 10 for ASRS-6.
Conclusion: These findings confirm the Turkish version of the ASRS (both 18-item and 6-item versions) as a reliable and valid adult ADHD screening instrument that measures a two-dimension construct among inpatients with AUD.]]>
Thu, 30 Jun 2016 07:43:23 GMT -08:00http://www.scopemed.org/?mno=207107A frontal lobe syndrome case unresponsive to antipsychotic medicationhttp://www.scopemed.org/?mno=210546
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesGokhan Evcili, Muhammed Nur Ogun, Uygar Utku.

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Thu, 30 Jun 2016 07:42:53 GMT -08:00http://www.scopemed.org/?mno=234487Validation study of the Turkish version of the Craving Typology Questionnaire (CTQ) in male alcohol-dependent patientshttp://www.scopemed.org/?mno=209472
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesCuneyt Evren, Gokhan Umut, Ruken Agachanli, Bilge Evren, Muge Bozkurt, Yesim Can.
Objective: Alcohol craving is considered a core symptom of alcohol use disorder and a strong predictor of relapse in alcohol-dependent adults. The Craving Typology Questionnaire (CTQ) allows dimensional self-rating assessment of craving according to a three-pathway psychobiological model of craving (reward, relief, and obsessive craving). Aim of the present study was to evaluate psychometric properties of the Turkish version of the CTQ in a sample of inpatients and outpatients with alcohol use disorder (AUD).
Method: Participants included 157 inpatients and outpatients with AUD. Participants were evaluated with the CTQ and the Obsessive-Compulsive Drinking Scale (OCDS), which includes items to evaluate both total craving and its obsessive and compulsive components.
Results: The obsessive, relief, and reward craving components accounted for 27.91%, 8.17% and 7.23% of total variance, respectively. Items 7 and 8 were included in obsessive craving and item 10 was included in relief craving instead of reward craving. Obsessive craving had a Cronbachs ? of 0.87, whereas the coefficients were 0.64 for relief craving and 0.42 for reward craving. Items were moderately correlated with their subscales. All types of craving were moderately correlated with OCDS and the obsessive dimension of OCDS, whereas they were mildly correlated with the compulsion dimension of OCDS.
Conclusion: Our findings confirm the Turkish version of the CPQ to be a reliable and valid instrument that measures three dimensions of craving among patients with AUD.]]>
Mon, 18 Apr 2016 07:01:46 GMT -08:00http://www.scopemed.org/?mno=209472Functioning and quality of life in bipolar disorderhttp://www.scopemed.org/?mno=223776
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesOmer Aydemir.
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Thu, 31 Mar 2016 06:22:10 GMT -08:00http://www.scopemed.org/?mno=223776The effect of delusion and hallucination types on treatment response in schizophrenia and schizoaffective disorderhttp://www.scopemed.org/?mno=176715
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesEsin Evren Kilicaslan, Guler Acar, Sevgin Eksioglu, Sermin Kesebir, Ertan Tezcan.
Objective: While there are numerous studies investigating what kind of variables, including socio-demographic and cultural ones, affect the delusion types, not many studies can be found that investigate the impact of delusion types on treatment response. Our study aimed at researching the effect of delusion and hallucination types on treatment response in inpatients admitted with a diagnosis of schizophrenia or schizoaffective disorder.
Method: The patient group included 116 consecutive inpatients diagnosed with schizophrenia and schizoaffective disorder according to DSM-IV-TR in a clinical interview. Delusions types were determined using the classification system developed by Gross and colleagues. The hallucinations were recorded as auditory, visual and auditory-visual. Response to treatment was assessed according to the difference in the Positive and Negative Syndrome Scale (PANSS) scores at admission and discharge and the duration of hospitalization.
Results: Studying the effect of delusion types on response to treatment, it has been found that for patients with religious and grandiose delusions, statistically the duration of hospitalization is significantly longer than for other patients. On the other hand, in patients with a delusion of being bewitched, the difference between their PANSS scores at admission and discharge was lower. The types of hallucination did not affect the difference in PANSS scores nor the duration of treatment. However, in case of visual hallucinations, PANSS scores for psychotic exacerbation were higher.
Conclusion: This study shows the association of negative treatment response with delusions of grandiosity and being bewitched and religious delusions. It can be said that delusion types in the schizophrenia spectrum may affect the duration of hospitalization and treatment response.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=176715Development of a Problematic Mobile Phone Use Scale for university students: validity and reliability studyhttp://www.scopemed.org/?mno=177938
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesMustafa Pamuk, Abdullah Atli.
Objective: This study aims to develop a Problematic Mobile Phone Use Scale (PMPUS) to determine the problematic mobile phone use by university students.
Method: Study participants for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were 725 university students, for test-retest 126 university students. The psychometric characteristics of the scale were investigated using test-retest, internal consistency (Cronbachs alpha), item analysis, EFA, CFA, and criterion-related validity methods.
Results: According to results obtained from exploratory factor analysis, it was determined that PMPUS had four subdimensions. Confirmatory factor analysis confirmed this four-subdimension structure. Reliability data for the PMPUS found Cronbachs Alpha coefficients of 0.92 for EFA and 0.93 for CFA, respectively. Test-retest coefficient for PMPUS was 0.85. Furthermore, a positive, high correlation (r=0.75) was found between PMPUS and Mobile Phone Problem Use Scale (MPPUS). Subscales of PMPUS also showed the required values for validity and reliability.
Conclusion: According to the results, PMPUS is a reliable and valid scale with 26 items in four subdimensions.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=177938Tardive dyskinesia in mentally retarded patients under long-term antipsychotic treatmenthttp://www.scopemed.org/?mno=178576
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesAylin Can, Ahmet Nalbant, Huseyin Sehit Burhan, Alparslan Cansiz, Kaasim Fatih Yavuz, Mehtap Arslan Delice, Erhan Kurt.
Objective: Tardive dyskinesia (TD) is an iatrogenic movement disorder, developing due to prolonged use of dopamine receptor blocking agents, that may affect various parts of the body. In a number of studies, prevalence rates between 5 and 30% have been reported. This study aims to research TD in patients with mental retardation who have been hospitalized for a long time and medicated regularly.
Method: Included in this study were 40 patients with a diagnosis of mental retardation comorbid with schzophrenia or other psychotic disorders according to DSM-IV TR that had been hospitalized in the chronic patients ward of Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery for a long period. Duration and type of antipsychotics both at the time of interview and over the preceding years were recorded. Dyskinesia was assessed using the Abnormal Involuntary Movements Scale (AIMS). We also used the SimpsonAngus Rating Scale (SAS) for Parkinsonism. Akathisia was measured using the Barnes Akathisia Rating Scale (BARS).
Results: According to AIMS scores, 9 participants (22.5%) received a diagnosis of TD. There was no significant correlation between the type and duration of ongoing or the longest used treatment and the prevalence of TD. There was a statistically significant correlation between the participants age and TD (p=0.009). There were no gender differences for TD
Conclusion: We found that long-term use of antipsychotics is unrelated with TD, while age is an important risk factor for TD. It can be said that switching from first generation to second generation antipsychotics does not reduce the prevalence of TD.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=178576Tactile hallucination and delusion following acute stroke: a case reporthttp://www.scopemed.org/?mno=180916
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesErhan Akinci, Fatih Oncu, Baris Topcular.
Although many psychiatric disorders, especially depression, may be seen after stroke, development of psychosis is rare. Post-stroke psychiatric disorders are associated with the affected brain regions and may appear with different symptoms. Although psychotic symptoms have been reported in association with strokes in different brain areas, temporoparietooccipital lesions have a higher possibility of leading to the development of secondary psychosis than those in other brain areas. This article aims to present a case of tactile hallucination and delusion in a previously healthy man that developed after ischemic stroke with right temporoparietooccipital involvement.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=180916Psychometric properties of the Inventory of Interpersonal Problems Circumplex Scales short form: a reliability and validity studyhttp://www.scopemed.org/?mno=183911
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesMiray Akyunus, Tulin Gencoz.
Objective: Considering the lack of an instrument in Turkish to measure individuals interpersonal difficulties, our aim was to adapt a short version of the Inventory of Interpersonal Problems Circumplex Scales (IIP-C) for Turkish culture, and we studied the psychometric properties of the scale.
Method: Our study included 1298 adult participants from the normal population (411 females and 887 males) between the ages of 18 and 68. In order to establish reliability and validity of the Turkish version of the IIP-C, internal consistency, test-retest reliability, split-half reliability coefficients, and concurrent and criterion validity studies were conducted. The validity study analyzed correlations with the Positive and Negative Affect Schedule, the Brief Symptom Inventory, the Multidimensional Scale of Perceived Social Support and the Basic Personality Traits Inventory.
Results: The results of the study indicated good internal consistency, test-retest and split-half reliability coefficients of the IIP-C, assessing overall level of interpersonal difficulty and distress due to various interpersonal problems. Moreover, findings supported concurrent and criterion validity of the inventory, in addition to the two-factor structures consistent with the original inventory.
Conclusion: The psychometric properties of IIP-C seem to be acceptable; therefore, the instrument can be utilized for research and clinical purposes in Turkey.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=183911Alleviation of alopecia after switching from escitalopram to duloxetine: a case reporthttp://www.scopemed.org/?mno=183883
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesSibel Kocbiyik, Sedat Batmaz, Levent Turhan, Ozgur Ahmet Yuncu, Ali Caykoylu.
Many psychotropic drugs, including SSRIs, lithium, carbamazepine, valproate, vigabatrin, antipsychotics, benzodiazepines, and tricyclic antidepressants have been implicated in cases with alopecia. Drugs may cause a variety of dermatological side effects, ranging from mild hair loss to total alopecia, from hypertrichosis to hirsutism. In this paper, we present a case where alopecia emerged due to escitalopram, and where this side effect was alleviated after switching to duloxetine; we also review the literature for antidepressant-related alopecia.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=183883Manifestation of Hashimotos encephalopathy with psychotic signs: a case presentationhttp://www.scopemed.org/?mno=189097
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesAysin Kisabay, Kuzeymen Balikci, Serpil Sari, Deniz Selcuki.
Hashimotos encephalopathy (HE) is a rare autoimmune disease with unclear pathophysiology, developing on the basis of Hashimotos thyroiditis (HT), associated with antithyroid antibodies, that presents with autoimmune, neuroendocrine, and neuropsychiatric findings. The disease is characterized by generalized or focal slowing in the EEG, elevated antithyroid antibody titration in the serum, elevated cerebrospinal fluid protein level, and the presence of antithyroid antibodies. HE is known as an autoimmune disorder of the central nervous system. With this feature, it is differentiated from cognitive alterations observed in hypothyroidism or hyperthyroidism. The response to treatment with corticosteroids in line with the autoimmune nature of HE supports this diagnosis. This report shows a case presenting with neuropsychiatric symptoms, elevated antithyroid antibody titration in the serum, and complete response to steroid therapy. A clear indicator for the diagnosis of HE has not yet been found. Therefore, other potential causes need to be considered in the differential diagnosis of this clinical picture until they can be excluded after investigations. With this case report, we want to emphasize that in differential diagnosis of patients presenting with a variety of neuropsychiatric symptoms, Hashimotos encephalopathy  though being seen quite rarely  should not be disregarded, given the dramatic improvement of patients receiving a correct diagnosis and appropriate treatment.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=189097Treatment augmentation effects of EMDR intervention after traumatic experiences in patients with major depression: a case serieshttp://www.scopemed.org/?mno=191616
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesMurat Semiz, Serdar Atik, Murat Erdem.
Depression is a frequent disorder that may have a recurring and chronic course with a potentially serious impact on morbidity and mortality. While around half of the patients show an inadequate response to initial antidepressant therapy, as many as 20% of patients with chronic depression do not benefit from any other alternative drugs. In this case series, three patients diagnosed with depression were treated with Eye Movement Desensitization and Reprocessing (EMDR). Three women (aged 28-44 years) diagnosed with depression were admitted to EMDR therapy. All patients actually underwent antidepressant treatment. Two patients received 150mg/day venlafaxine and mirtazapine, one patient 300mg/day bupropion and 30mg/day mirtazapine. Six to eight sessions of EMDR were applied to the patients. Before and after treatment, patients completed Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and State-Trait Anxiety Inventory (STAI). After treatment, there was a statistically significant reduction in patient-reported BDI, BAI, and STAI scores. EMDR therapy augmentation was effective in the treatment of patients with depression.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=191616Reproductive and sexual functions in bipolar patients: data from a specialized mood disorder clinichttp://www.scopemed.org/?mno=196046
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesEbru Aldemir, Fisun Akdeniz, Serhan Isikli, Nesli Keskinoz Bilen, Simavi Vahip.
Objective: The objective of this study is to investigate the reproductive characteristics and sexual functions in bipolar patients monitored in a specialized mood disorder clinic, identify their potential relationship with the use of psychotropics, and investigate gender differences.
Method: The study included 193 patients (100 men, 93 women) with a DSM-IV diagnosis of bipolar disorder being followed at Ege University Affective Disorders Outpatient Unit. Reproductive characteristics of the patients were examined at the evaluation. Sexual dysfunctions were evaluated using the International Index of Erectile Function in men and Arizona Sexual Experience Scale in women.
Results: There was no significant difference between men and women regarding age, duration of marriage, duration of illness, duration of mood stabilizer and antipsychotic drugs use and dosage of antipsychotic drugs. Age at pubarche in men was 13.8±1.2 years, age at menarche in women was 13.2±1.3 years. Current menstrual cycle irregularities were found in 15.1% (n=14) of women. Prevalence of lifetime menstrual irregularities was 38.7% (n=36). 60.4% (n=67) of patients having an active sexual life were using an effective contraception method. 31.7% (n=26) of female patients had sexual dysfunction whilst 52% (n=39) of male patients had erectile dysfunction. In both men and women, no significant difference was found between groups using mood stabilizers and antipsychotic drugs in terms of sexual dysfunction. There was no correlation between sexual function scores and usage and duration of mood stabilizers and antipsychotic drugs in either sex.
Conclusions: This cross-sectional study with a relatively large bipolar sample group concluded that the patients reproductive and sexual functions were not as much affected by bipolar disorder and psychotropic drug use as had been assumed. However, these results should be supported with prospective and controlled trials.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=196046Relation of the Nine Types of Temperament Model with personality disordershttp://www.scopemed.org/?mno=196361
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesEnver Demirel Yilmaz, Ali Gorkem Gencer, Ozge Unal, Mehmet Palanci, Mehmet Kandemir, Ziya Selcuk, Omer Aydemir.
Objective: Aim of this study is to determine the correspondence between personality categories and the types making up the Nine Types of Temperament Model (NTTM) a new temperament model which evaluates personality disorders within the context of temperament traits and maladaptive personality features- and conceptualization of NTTM types.
Method: The sample group is composed of 117 participants with a personality disorder. SCID II and Nine Types of Temperament Scale (NTTS) were applied to participants.
Results: According to the findings, all NTTM types have shown significant correlation with at least one personality disorder. According to the regression analysis results, it was determined that the NTTM types were explained by personality disorders at a rate of 19-41%.
Conclusions: In this study, it is found that knowing the temperament features that form the basis of an individuals personality structure is helpful to diagnose and to determine the tendency to develop personality disorders that are pathological responses to personality characteristics. In addition, this study brings up questions such as whether the individual differences between patients with the same personality disorders can be evaluated on the basis of temperament and whether it is possible to determine therapy and treatment approaches according to an individuals temperament type.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=196361Review of the diagnosis and treatment of pregnant psychiatric inpatientshttp://www.scopemed.org/?mno=202588
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesKader Semra Karatas, Julide Guler, Aytul Hariri, Feride Ezgi Buyuksahin Unal.

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Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=202588Evaluation of depression and social anxiety symptoms in obese childrenhttp://www.scopemed.org/?mno=203136
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesEsra Akyuz Ozkan, Ali Irfan Gul, Zeynep Tuba Ozdemir, Hasim Husrevsahi, Zehra Yildirim, Esra Domur, Ummugulsum Aliye Gecit.
Objective: The present study aimed to assess depression and social anxiety symptoms in obese children.
Methods: The Childrens Depression Inventory (CDI) and the Social Anxiety Scale for Children - Revised (SASC-R) were administered to 80 obese children and 82 controls.
Results: The obese group consisted of 42 male and 38 female children, mean age 12.48±2.70 years (range 7-17 years), mean body mass index (BMI) was 27.47±3.72 kg/m2; controls were 43 male, 39 female children, mean age 12.93±2.32 years (range 9-17 years), mean BMI was 16.92±5.17 kg/m2. Mean social anxiety scores were higher in the obese group than in the control group. Mean depression scores were significantly higher in the obese group than in the control group. The mean depression scores were higher in obese females compared to control females as well as in males. The mean social anxiety scores were higher in obese females than in controls as well as in males. There was no correlation between BMI and depression and social anxiety scores in obese males and females. Among obese childeren 21.5% and among the control group 14.3% had a value of CDI above the cut-off point, and this was statistically significant. Among obese childeren 15.2% of females and 10.4% of males had a value above the cut-off point, but the difference between sexes was not statistically significant.
Discussion: Depression and social anxiety symptoms were more common in obese children and did not relate to the degree of obesity. The prevention of childhood obesity is important in both sexes for reducing the risk of psychological disorder in adulthood.]]>
Thu, 31 Mar 2016 06:00:53 GMT -08:00http://www.scopemed.org/?mno=203136Tardive dyskinesia in long term hospitalized patients with schizophreniahttp://www.scopemed.org/?mno=209703
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesAhmet Nalbant, Aylin Can, Huseyin Sehid Burhan, Alparslan Cansiz, Kaasım Fatih Yavuz, Mehtap Arslan Delice, Erhan Kurt.
Objective: Tardive dyskinesia (TD) is a group of delayed-onset iatrogenic movement disorders caused by dopamine receptor-blocking agents. TD prevalence is estimated as 20-50% of all patients treated with neuroleptics. This study aimed to investigate the prevalence rate of TD in long-term hospitalized patients with schizophrenia.
Method: We recorded age, gender, duration and type (first/second generation or mixed) of medication both at the time of interview and over preceding years. Dyskinesia was assessed by using the Abnormal Involuntary Movements Scale (AIMS). We also used the SimpsonAngus Scale for tardive parkinsonism. Akathisia was measured using the Barnes Akathisia Rating Scale (BARS).
Results: Mean duration of the longest used antipsychotic was 206.63 months. Probable TD was found in 18 (22.5%) of patients. None of the patients had tardive akathisia. Relation between type of the longest used treatment and prevalence of TD was not statistically significant. Relationship between type of ongoing treatment and prevalence of TD was not determined statistically significant either. There was a statistically significant relationship between the mean age and TD.
Discussion: Despite very long duration of antipsychotic use, 22.5% rate of prevalence is still lower than expected. This can be explained that these patients are under direct and close follow-up of healthcare providers and in hospital conditions, so that risky conditions can be intervened rapidly. Another noteworthy finding of our study is that there is no statistically significant difference betwen first and second generation antipsychotic use and TD prevalence.]]>
Wed, 23 Mar 2016 07:45:02 GMT -08:00http://www.scopemed.org/?mno=209703Pharmacological treatment options for alcohol use disorderhttp://www.scopemed.org/?mno=213775
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesCuneyt Evren, Muge Bozkurt.

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Wed, 30 Dec 2015 01:03:06 GMT -08:00http://www.scopemed.org/?mno=213775Aspergers Syndrome in adulthood: a case reporthttp://www.scopemed.org/?mno=168516
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesFerdi Kosger, Sinem Sevil, Zafer Subasi, Cem Kaptanoglu.
Aspergers Syndrome (AS) is characterized by social deficits, communication difficulties, and stereotypical behaviors. Unlike autism, delays in language and cognitive development are not seen in Aspergers syndrome. AS is typically diagnosed in childhood, although some cases may be diagnosed in adulthood. Due to the clinical features of AS, diagnostically it can be confused with schizophrenia, anxiety disorders, obsessive-compulsive disorder, and personality disorders; hence, diagnosis of AS may be missed, especially in adulthood. This case is presented to emphasize the importance of adult AS, given that it is generally diagnosed in childhood, which leads to difficulties in diagnosis and differential diagnosis in adulthood if the condition has not been diagnosed in childhood.]]>
Wed, 30 Dec 2015 00:55:56 GMT -08:00http://www.scopemed.org/?mno=168516Comparison of sociodemographic and clinical characteristics of bipolar type 1 patients on single or double mood stabilizers treatmenthttp://www.scopemed.org/?mno=171473
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesFiliz Dere Yilmaz, Kaasim Fatih Yavuz, Kursat Altinbas, Dilek Yesilbas Lordoglu, Erhan Kurt.
Objective: Purpose of the current study is to compare the demographic and clinical characteristics, prognoses and episode characteristics between patients on a single mood stabilizer treatment and those on double mood stabilizer treatment.
Methods: The follow-up files of 167 patients who met DSM-IV-TR criteria for bipolar-I disorder were examined retrospectively. Patients were divided into two groups, with 136 patients on a single mood stabilizer and 31 patients on double mood stabilizer treatment. Sociodemographic and clinical characteristics of the groups were evaluated. The data derived from the study were analyzed with SPSS (Statistical Package for Social Sciences) for Windows 17.0. The data were evaluated with chi-square and t test.
Results: The number of women was significantly higher in the single mood stabilizer group. The total number of episodes and hospitalizations were higher in patients on double mood stabilizer treatment compared to the single mood stabilizer group. When comparing within the single medication group, the total number of episodes and hospitalizations in patients using Lithium were significantly lower than in patients on valproat.
Conclusion: Patients medicated with double mood stabilizer may be more difficult to treat and have a poorer prognosis than patients medicated with a single mood stabilizer. The number of female patients was greater in the single mood stabilizer group, which may indicate a generally more positive outcome in women. However, this research was cross-sectional and had a relatively low sample size, making it rather difficult to come to a more definite conclusion. Therefore, follow-up studies with a greater number of patients on a single mood stabilizer over an extended period of time are required.]]>
Wed, 30 Dec 2015 00:55:56 GMT -08:00http://www.scopemed.org/?mno=171473Prevalence of tobacco, alcohol and substance use among Eskisehir Osmangazi University studentshttp://www.scopemed.org/?mno=179649
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesAli Dayi, Gulcan Gulec, Fezan Mutlu.
Objective: This study aimed at researching the prevalence of tobacco, alcohol, and substance use and its relation with sociodemographic variables in Eskisehir Osmangazi University students.
Method: The study population consisted of 17676 students at Eskisehir Osmangazi University faculties and colleges. A total of 3141 students (17.76%) were reached using a cross-sectional layer method. The study was evaluated including 3114 people. A survey form was used to obtain the data.
Results: The prevalence of Eskisehir Osmangazi University students lifelong cigarette use is 40.2%. It was determined that the prevalence of lifelong alcohol use is 60.8%, the prevalence of lifelong substance use except for tobacco and alcohol is 11.0%. This study found that tobacco, alcohol, and substance use are higher in males, in students living on their own, those having negative ideas about themselves and their future, those who are seeking excitement, and those with problems of anger control. In addition, it was determined that tobacco, alcohol, and substance use are higher in students whose family members and especially whose close environment use cigarettes, alcohol, and substances.
Conclusion: These risk factors need to be taken into account in the preparation of prevention programs. These programs are must be implemented among the youth before coming to university.]]>
Wed, 30 Dec 2015 00:55:56 GMT -08:00http://www.scopemed.org/?mno=179649Hydroxychloraquine-induced acute psychotic disorder in a female patient with rheumatoid arthritis: a case reporthttp://www.scopemed.org/?mno=175247
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesEbru Altintas.
Chloroquine and its derivative hydroxychloroquine (HCQ) have been used for acute and prophilactic treatment of malaria for most of the last century. HCQ has anti-inflammatory, antilipidemic and antithrombotic effects and in recent years has become an important drug for treating rheumatoid arthritis (RA). In the literature, antimalarial-induced psychosis has been reported in a small number of cases; however, we did not find any case related with HCQ-induced psychosis in rheumatoid arthritis. We want to report a 73-year-old female RA patient without a previous history of psychosis who developed psychosis after use of HCQ. HCQ is being increasingly prescribed in autoimmune diseases. Clinicians need to be aware of psychosis as a rare but debilitating side effect.]]>
Wed, 30 Dec 2015 00:55:56 GMT -08:00http://www.scopemed.org/?mno=175247Development of The Addiction Profile Index Internet Addiction Form (APIINT): validity and reliabilityhttp://www.scopemed.org/?mno=177410
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesKultegin Ogel, Figen Karadag, Defne Satgan, Ceren Koc.
Objective: To adapt the Addiction Profile Index (API) for internet use and addiction in order to develop an internet addiction questionnaire better suited to the definition of addiction to be used for clinical purposes.
Method: The questions of the API were adapted to measure the use of the internet. After pilot application and feedback, a new scale of 18 items was developed. Included in the study were 103 randomly selected first-year students of a private high school and the entire first year cohort of a medical faculty (n=51). The Internet Addiction Scale developed by Nichols and adapted to Turkish by Canan was used for the validation of the questionnaire. The questionnaire was reapplied to the subjects fifteen days later.
Results: Cronbachs ? coefficient for the total APIINT was 0.88, and retest correlation was 0.85. Three factors were obtained using explanatory factor analysis that represented 57.03% of the total variance. A correlation coefficient of 0.81 was found between APIINT and Internet Addiction Scale. The area under the ROC curve was 0.97.With a total APIINT cut-off score of 2, both the scales sensitivity and specificity were 0.90, respectively. A screening form consisting of 2 questions with a cut-off score 3.5 had a sensitivity of 0.72 and its specificity was 0.83.
Conclusion: The results show that the APIINT is a valid and reliable questionnaire that can be used for high school and university students.]]>
Wed, 30 Dec 2015 00:55:56 GMT -08:00http://www.scopemed.org/?mno=177410Relation of anxiety and depressive symptoms with perceived social support according to gender within infertile coupleshttp://www.scopemed.org/?mno=177685
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesSecil Aldemir, Ayla Eser, Nilgun Ozturk Turhan, Ercan Dalbudak, Merve Topcu.
Objective: Evaluation of infertile couples emotional symptoms and perceived social supports according to gender differences.
Method: Hospital Anxiety and Depression Scale (HADS) and Multidimensional Scale of Perceived Social Support (MSPSS) were administered to 66 primarily infertile couples that did not have psychiatric Axis-I disorders according to DSM-IV.
Results: According to the scales average points, the samples depressive symptom levels did not indicate clinical depression; rather, anxiety levels were in normal ranges. Comparing participants anxiety according to gender, female participants were more anxious than male participants. Couples reported less anxiety and depression as long as they perceived higher social support. It was found that the combined infertility group, in which both women and men have problems to conceive, had more perceived social support from significant other and friends than in the female-originated infertility group. Also, results revealed that the male-originated infertility group reported more perceived social support from significant other compared to the female-originated infertility group.
Conclusion: Social support and emotional stress of females in infertile couples are more than males, and perceived sufficient social support decreases couples emotional symptoms.]]>
Wed, 30 Dec 2015 00:55:56 GMT -08:00http://www.scopemed.org/?mno=177685Quality of life and sleep in children diagnosed with duchenne muscular dystrophy and their mothers level of anxiety: a case-control studyhttp://www.scopemed.org/?mno=178779
2016-12-09T20-59-03Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological SciencesGonca Ozyurt, Erhan Bayram, Pakize Karaoglu, Semra Hiz Kurul, Uluc Yis.
Objective: Duchenne Muscular Dystrophy (DMD) is the most severe form among a variety of muscular dystrophies. While studies into the etiology and pathophysiology of DMD have progressed fast, there still is no therapy for the disease. The presence of a severe chronic disease such as DMD can seriously affect patients as well as caregivers. In this study, we planned to compare quality of life and sleep between cases diagnosed as DMD and healthy controls while at the same time assessing the levels of anxiety in the patients mothers.
Method: In this study, 17 cases with a diagnosis of DMD and 20 healthy controls were enrolled. All the patients and controls were male. The social status of patients and controls was assessed with a sociodemographic data form. To evaluate the childrens quality of life, the Pediatric Quality of Life Inventory (PedsQL) was completed by children and parents. The Pittsburgh Sleep Quality Index (PSQI) is a self-reported questionnaire used to evaluate the quality of sleep in children. We measured the mothers anxiety with the State-Trait Anxiety Inventory (STAI) - state anxiety and trait anxiety forms. Mann-Whitney U test and chi square test were used for statistical analysis.
Results: A statistically significant difference was found in comparing both parents and childrens PedsQL forms between patients and controls. The quality of sleep also differed significantly between cases and controls. In the STAI state and trait anxiety forms, no significant difference was found between the anxiety levels of patients mothers and the control persons mothers.
Conclusion: As key result of our study, we found that there are more problems in the DMD patients sleep, and the quality of life is lower than in the healthy controls. Problems in motor functionality may affect emotional and social functionality and possibly the quality of childrens sleep.]]>
Wed, 30 Dec 2015 00:55:56 GMT -08:00http://www.scopemed.org/?mno=178779